Individual Business Loan Application Personal InformationName* Forenames Surname Type of ID*ID documentPassportDriver's LicenseID Number*Home Address* Street Address Address Line 2 City AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Number of years at this addressTelephone (work, cell, home)Date of Birth Place of BirthOccupationQualificationsSex*FemaleMaleMarital StatusSingleMarriedWidowedSeperatedName of SpouseOccupation of SpouseNumber of DependentsPlease enter a value between 0 and 20.Home OwnershipOwnedRentedMortgagedSharedBusiness ActivityType of Business*e.g. retail, wholesale, service, manufacturing, farmingName of Business*Business Partner (If Any) & ownership %Number of EmployeesEstimated Business AssetsEstimated Monthly Sales*Is your business registered/licensed*YesNoBusiness Type*Sole ProprietorPartnershipLimited CompanyCooperativeRegistration/License Number*Who looks after your business when you are sick or away?Are you involved in any other business activity?YesNoIf yes, What type of business?Are you employed apart apart from owning a business?YesNoStatus of EmploymentPermanentContractualMonthly income from EmploymentName of EmployerAddress of Employer Street Address Address Line 2 City Telephone of EmployerName of ManagerLoan InformationHow much do you want to borrow?*For how long?*Purpose for LoanHow much can you afford to pay monthly?*Household and Business Assets*ItemYear ProducedModel and Brand NameAcquisition DateAcquisition CostCurrent Estimated Value Do you have an outstanding loan?YesNoDoes your spouse have an outstanding loan?YesNoIf yes, how much is your outstanding loan?Name of CreditorName at least one creditor/supplier that you have borrowed from in the past.(This will help you get a loan.) Any current or savings accounts or deposits?YesNoIf yes, amount?Name of Bank or InstitutionUpload Supporting Documents Drop files here or Authorization* I confirm that the above information is true and correct to the best of my knowledge. I am aware that any false statement may be an immediate cause for denial of this loan. In connection with this application, I authorize Lion Microfinance Limited (LMFL) to obtain such other information as may be required. This authorization includes obtaining information from suppliers, banks, bureau and all other creditors while releasing these institutions from liability under any law I have read and accept LMFL’s loan terms and conditions.